Publications by authors named "P A Bakx"
Article Synopsis
- Income-based disparities in hip fracture treatment and outcomes were examined across six high-income countries, revealing that lower-income individuals generally faced worse health outcomes.
- The study indicated that low-income populations had higher incidence rates of hip fractures and worse 1-year mortality compared to their high-income counterparts, with the most pronounced difference in Israel.
- Overall, high-income patients experienced shorter hospital stays, lower readmission rates, and quicker surgery times, highlighting the significant impact of income on healthcare quality and access for older adults with hip fractures.
Background: A sustainable pandemic preparedness strategy is essential to ensure equitable access to healthcare for individuals with neurodegenerative diseases. Moreover, it is vital to provide clinicians and researchers in the neurodegenerative disease fields with resources and infrastructure to ensure continuity of their work during a (health) crisis.
Methods: We established an international collaboration between researchers, clinicians, and patient representatives from the Netherlands, Poland, and the United Kingdom.
Objectives: Nursing home residents constituted a vulnerable population during the COVID-19 pandemic, and half of all cause-attributed COVID-19 deaths occurred within nursing homes. Yet, given the low life expectancy of nursing home residents, it is unclear to what extent COVID-19 mortality increased overall mortality within this population. Moreover, there might have been differences between nursing homes in their ability to protect residents against excess mortality.
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- The study examined how older men and women are treated for heart attacks (STEMI and NSTEMI) in six countries, focusing on hospitalization rates, intervention procedures, and outcomes from 2011 to 2018.
- Results showed that while hospitalization rates for heart attacks fell across all countries, the rate ratio of male to female hospitalizations rose, indicating a growing disparity.
- Females consistently received fewer interventional procedures than males for STEMI across the board, and mortality rates differed, with females often faring worse in STEMI outcomes in most countries but better in NSTEMI outcomes in others.
Background: Hip fractures are costly and common in older adults, but there is limited understanding of how treatment patterns and outcomes might differ between countries.
Methods: We performed a retrospective serial cross-sectional cohort study of adults aged ≥66 years hospitalized with hip fracture between 2011 and 2018 in the US, Canada, England, the Netherlands, Taiwan, and Israel using population-representative administrative data. We examined mortality, hip fracture treatment approaches (total hip arthroplasty [THA], hemiarthroplasty [HA], internal fixation [IF], and nonoperative), and health system performance measures, including hospital length of stay (LOS), 30-day readmission rates, and time-to-surgery.